16-101822 Wig „ - . ._ .
Building Commercial
Community of EccoonrDev.WServices Permit #. 16-101822-00-CO
33325 8th Ave S
Federal Way,WA 9E1003FILE
Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: IORA/HUMANA PRIMARY CARE REMODEL
Project Address: 1414 S 324TH ST Unit B211 Parcel Number: 150050 0080
Project Description: TI-Tenant improvement to include framing,drywall, suspended ceilings,HVAC duct
work,flooring and doors.Plumbing and Mechanical included.
,
Owner Applicant Contractor Lender
HARSCH INVEST PROPS LLC JIM ANDERSON SILVER CREEK DEVELOPMENT
PO BOX 2708 SILVER CREEK DEVELOPMENT LLC
PORTLAND OR 97208 LLC SILVECD860KG(5/12/18)
5130 MAE ANNE AVE 5130 MAE ANNE AVE
PORTLAND OR 97205 PORTLAND OR 97205
Census Category: 437- Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 6,263 0 0 0
Additional Permit Information
Building Pre-con.Meeting Required? No Existing Sprinkler System in Building? Yes
Mechanical to be Included? Yes Plumbing Work Valuation? 65000
Mechanical Work Valuation 60000 Number of Stories. 2
Permit for Building Shell Only? No Plumbing to be Included Yes
Proposed Structure Valuation 627367 Special Inspection(s)Required? No
New/Additional Sq.Feet-Total 0 Occupancy#1-Use Clinic-Outpatient
Mechanical Fixtures
Compressors/Heat Pumps 1 Ducting 15 Fans 5
Refrigeration Systems. 1
Plumbing Fixtures
Dishwashers 1 Drains 5 Drinking Fountains. 1
Lavatories 4 Showers 2 Sinks 10
Water Closets 4 Water Heaters 1
PERMIT EXPIRES Saturday, November-12, 2016
Permit Issued on Monday, May 16, 2016
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
a d the City of Federal Way.
Owner or agent • 4e. Date: .3--/4"-/‘
\ Piiiiq .
j.,` ')&TE INSPECTOR AREA AND TYPE OF INSPECTION
•
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THIS CARD IS TO REMAIN ON-SITE � 4
CITY OF Construction Inspection Record ��Y
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-101822-00-CO Address: 1414 S 324TH ST Unit B211
Project: HARSCH INVEST PROPS LLC FEDERAL WAY, WA 98003
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as
possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
O Initial Erosion Control(4365) CI Footings/Setback(4110) El Re-steel(4215)
To be done prior to breaking ground Approved to place concrete Approved to place concrete or grout
By Date By Date By Date
O Plumbing Groundwork(4190) ' 0 Slab/Concrete Floor(4255) 0 Underfloor Framing(4285)
Approved to cover Approved to place concrete Approved to sheath floor
By Date By Date By Date
o Floor Sheathing(4105) ❑ Rough Plumbing(4230) 0 Mechanical Rough-in(4165)
Approved to install flooring Approved Approved
By Date `Bim- Date �7—( Bye Date �tl 9 11 1p
❑ Gas Piping(4125) ❑ Fire/Draft Stops(4095) ❑ Interim Erosion Control(4370)
Approved to release test Approved Approved
By Date By Date By Date
�w F„ .T.� A ..... Framing4120 Insulation 4150
Prior to scheduling a Framing inspection; 0
( ) ( )
Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Approved to install wallboard
Fire/Draft Stop inspections must be signed off and
' approved. IBC 1093A By A Date 6 la ci 1 /lc By Date
0 Gypsum Wallboard Nailing r130) '❑ Suspended Ceiling Grid (4265) 0 Final-S KF&R(4060)
Approved to install mud&tape Approved to drop tile Approved
By /kJ Date 117 I 1 ot- `By Date g l Ib ) Up ,By Date
❑ Final-Planning 0 Final Erosion Control(4375) 0 Final-Mechanical(4065)
Approved Approved Approved
By Date By Date By 0......‘4...., Date ci_ 2....1
O Final-Plumbing(4075) -Building(4050)
Approved // Approved
El
By Date�4^(' Date ,` 1- lb
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
` i Realm
IP
CITY OF - APR 1
3 2016 PERMIT APPLICATION
Federal I/i►a dPERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
(( Crry OF FEDERAL WAY 253-835-2607+FAX 253-835-2609+permitcenteracitvoffederalwav.com
CDS
PERMIT NUMBER I S ) ,
1 At
_ , 0 ` V '1 _ C 0 II 1
TARGET DATE / I
SITE ADDRESS SUITE/UNIT#
1414 S. 324th Street, Federal Way, WA 98003 Suite B207-8211
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL It
$ 627,367.00 CF 1 5 0 0 5 0 - 0 0 8 0
TYPE OF PERMIT liBuninNo (VUMBING MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT IORA/Humana Primary Care- Federal Way
PROJECT DESCRIPTION Tenant improvement consisting of new interior with no structural ch ngag-ta
Detailed description of work to include-framing, drywall, ceilings, HVAC, flooring, doors plumbing
be included on this permit only and paint for new primary care physician's office.
NAME PRIMARYONE
Harsch Investment Properties,LLC 42
P 503-242-2900
PROPERTY OWNER MAILING ADDRESS EMAIL
1121 SW Salmon Street,#500 Kristin)@harsch.com
CITY STATE ZIP
Portland OR 97205
NAME PHONE
Silver Creek Development, LLC 775-691-7166
MAILING ADDRESS E-MAIL
CONTRACTOR 5130 Mae Anne Ave ja.scd@juno.com
CITY STATE ZIP FAX
Reno NV 89523 775-201-5683
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
SILVECD860KG 05 / 07 /16
NAME PRIMARY PHONE
Silver Creek Development, LLC 775-691-7166
APPLICANT MAILING ADDRESS E-MAIL
5130 Mae Anne Ave ja.scd@juno.com
CITY STATE ZIP FAX
Reno NV 89523 775-201-5683
NAME PRIMARY PHONE
PROJECT CONTACT LG Architects -Alexia Chen _ 702-789-3349
(The individual to receive and MAILING ADDRESS EMAIL
respond to all correspondence 241 W. Charleston Blvd. Suite 107 aehen@Igainc.com
concerning this application) CITY STATE ZIP FAX 702-263-8111
Las Vegas NV 89102
NAME
PROJECT FINANCING N/A Pi OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the c y as a part of this application.
SIGNATURE: (:&./..41440). DATE / a-/e
PRINT NAME: JT M"►p J AilmcieRsoi.,
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
• •
MECHANICAL PERMIT VALUE OF MECHANICAL WORK
$ 6O, 000.do
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing factures to remain.
0 AIR HANDLING UNITS 5 FANS 0 GAS PIPE OUTLETS OTHER(Describe)
1 AIR CONDITIONER 0 FIREPLACE INSERTS 0 HOODS(commercial)
0 BOILERS 0 FURNACES 0 HOT WATER TANKS(ca.)
1 COMPRESSORS 0 GAS LOG SETS 1 REFRIGERATION SYST
15 DUCTING 0 GAS PIPING 0 WOODSTOVES
PLUMBING PERMIT VALUE OF PLUMBING WORK
$ 65,00050o
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
0 BATHTUBS(or Tub/Shower Combo) 4 LAVS(Hand sinks) 4 TOILETS 3 WATER PIPING
1 DISHWASHERS 0 RAINWATER SYSTEMS 0 URINALS OTHER(Describe)
5 DRAINS 0 SHOWERS 0 VACUUM BREAKERS (1)Janitor sink,(1)water cooler
(1)emergency eye-wash
0 DRINKING FOUNTAINS SINKS(Kitchen/Utility) 1 WATER HEATERS(Electric) (1)emergency pull shower
0 HOSE BIBBS t) SUMPS 0 WASHING MACHINES 33.5 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
N/A-existing development Lakehaven Utility District Lakehaven Utility District $
EXISTING/PREVIOUS USE LOT SIZE tin Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
Vacant commercial tenant spaces 124,840 SF Yes ❑ No ❑Yes ❑ No
ioilnawv;ii
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
-----------------
2 m �� ilk P s<r ( r +-
FIRST FLOOR(or Mobile Home)
SECOND ,'66 3 -6 - r .Y1 G3i lip ,3, 3 , irFr9 = �= _
COVERED ENTRY
o' �E Yrtii hew,,, ro , ,o,$li ,v ;,4ni = I �h ��il,� � 11Y _
'-
GARAGE ❑ CARPORT ❑
ilaa � �' rrlrIt
�g�
N .� .. -m- L• �.,4-�)ki,fir" ir ---.`.a it �� ,,- a r :,rid) r �° ___"----- - ---- ---
Area Tota EEXISTING PROPOSED TOTAL
spa tt t i �i pt= gr'�i`ffi, "4r _icy /,.. t • ile.:r�:€+NL t_ "`. .� Y ,i r� L:'rn °'' .F;
w, F
ESTIMATED SELLING PRICE$ I #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Tye Stories
—3w N isi S a �p.#1 rh 174 = Pittirags is riiiiy k� a iliipl4a 1j "_
111111P
t, m . i7(9�ir p� �a �§ �' Ili iii r �- i *k
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ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
awl " i 1 4 - 'a" a ri re ,,r _ , ,for q
L��
„tours/40m, w� i y n y ��_ ( „�r� ,, (l e t a ��(�
ra, „ ,„r,„1,,,, o, , P F �'" 5� � V k.q 9, 4.---,- 4 , ,23, € , .;,,i �� �3.,
nes �1 � ;Ex �®r dt �i.
TENANT AREA ONLY 6,263 SF B, A-3 VB 1 (existin• 2nd story)
,iitt"'. i € ��I,'y i(�3i r�__- a o mr �{iq e lip N ✓ r ii 0 I,? i(L,47 -! H 1 ,� ( "�r iaai _'� ;p,.
€r r f�� .. r:.i ` Ft B, A-3# T T "'�i lA '�- ,"✓ Ir.', 5 Ol r1 , ;airy-+dl ;r-" i,
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Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application